Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Bodley Stibolt Jr., MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1497869309

Dr. Thomas Bodley Stibolt Jr., MD is a Critical Care Medicine (Internal Medicine) Physician in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3500 N Interstate Ave
Portland, OR 97227-1196
Phone: (503) 652-2880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence MD00035026 (WA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD14564 (OR)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD14564 (OR)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD00035026 (WA)

Record details

NPI number1497869309
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESSeptember 11, 2025

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